Rafael Baracaldo, M.D.
NPI 1013151968 · Nephrology Physician · Louisville, KY
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1013151968
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 04-37029 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,609 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 771 | $73 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 431 | $47 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 384 | $100 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 190 | $15 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 163 | $328 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Losartan Potassium | 62 | 25 |
| Furosemide | 54 | 25 |
| Amlodipine Besylate | 51 | 22 |
| Torsemide | 48 | 25 |
| Valsartan | 46 | 21 |
| Dapagliflozin Propanediolbrand: Farxiga | 41 | — |
| Terazosin Hcl | 32 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$809 across 37 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-22
- Last updated
- 2020-12-21
- Certified
- 2020-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.